| 桡骨远端骨折掌背侧入路的疗效比较 |
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| 引用本文： | 王平,廖晓辉,李峻,王伟. 桡骨远端骨折掌背侧入路的疗效比较[J]. 实用骨科杂志, 2011, 17(4): 316-318 |
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| 作者姓名： | 王平 廖晓辉 李峻 王伟 |
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| 作者单位： | 上海市第一人民医院宝山分院手外科,上海,200940 |
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| 摘 要： | 目的探讨掌背侧不同手术入路对治疗桡骨远端不稳定骨折的疗效影响。方法 2006年6月至2009年1月收治桡骨远端不稳定骨折患者62例,男29例,女33例;年龄20～76岁,平均51岁。损伤原因：摔伤38例,高处坠落伤14例,交通事故伤6例,运动伤4例。均为闭合新鲜骨折。按AO分类,B1型6例,B2型28例,B3型5例,C1型9例,C2型11例,C3型3例。随机分为两组,分别经腕掌侧（A组,n=43）及背侧（B组,n=19）入路行切开复位钢板内固定术。16例骨缺损破坏严重,行植骨填充。结果所有患者术后随访6～27个月,平均14个月,骨折均愈合。从骨折愈合时间、术后早期并发症、术后远期并发症、术后第24周腕关节功能恢复等方面比较两组差别。腕关节功能按Gartland-Werley计分法评价,A、B两组术后第24周腕关节功能优良率分别为88.4%和89.5%;放射学评价按Lid-strom评分标准评价,A、B两组桡骨关节面恢复优良率分别为94.1%和90.3%。A、B两组术后并发症比较,术后早期并发症差异无统计学意义（P〉0.05）,术后远期并发症差异有统计学意义（P〈0.01）。结论掌背侧不同手术入路对治疗桡骨远端不稳定骨折的疗效有影响,各有优缺点,背侧入路钢板内固定术后远期并发症较多。
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| 关 键 词： | 桡骨远端骨折 手术入路 钢板内固定 |
Comparison between Volar and Dorsal Surgical Approaches for the Tretment of Fractures of Distal Radius |
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| WANG Ping,LIAO Xiao-hui,LI Jun,et al. Comparison between Volar and Dorsal Surgical Approaches for the Tretment of Fractures of Distal Radius[J]. Journal of Practical Orthopedics, 2011, 17(4): 316-318 |
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| Authors: | WANG Ping LIAO Xiao-hui LI Jun et al |
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| Affiliation: | WANG Ping,LIAO Xiao-hui,LI Jun,et al(Department of Hand surgery,Baoshan Branch of Shanghai First People′s Hospital,Shanghai 200940,China) |
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| Abstract: | Objective To evaluate the outcome between volar and dorsal surgical approaches for the tretment of unstable fractures of distal radius.Methods From June 2006 to January 2009,62 cases with fracture of distal radius were treated,29 males and 33 females;aged 20 to 76 years(51years on average).Among which 38 cases were caused by falls,14 cases falls injuries,6 cases of traffic accidents,and 4 cases sports injury.All cases were fresh closed fractures.According to AO,there were 6 cases for B1,28 for B2,5 for B3,9... |
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| Keywords: | distal radius fractures surgical approach plate fixation |
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